Whalio Doctors

NPI 1013219823

Coastal Eye Group, P.C.

Organisation Optician Lake City, SC

Practice location

Address
123 Epps St, Lake City, SC 29560-2449
Phone
(843) 374-5487
Fax
(843) 374-7342
Mailing address
401 79th Ave N, Myrtle Beach, SC 29572-4310

Authorised official

Name
Frank Sloan
Title
President
Phone
(843) 449-7115

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X

Registry record

NPI
1013219823
Entity type
Organization
NPI issued
30 Nov 2010
Record last updated
30 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.